Disparities in Access to Specialized Care for Spontaneous Intracranial Hypotension: A Comparative Cohort Study

Patients accessing specialized care for SIH at a tertiary referral center are more likely to be White, English-speaking, and privately insured compared with patients presenting to the ED with headache, despite coming from greater geographic distances. These findings suggest significant disparities in access to specialty care for SIH, highlighting the need for targeted outreach, streamlined referral pathways, and broader diagnostic awareness in general practice and emergency settings.